Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Keith Edwin Moomaw, DDS

Individual provider Dentist · NPI 1164645859

Dr. Keith Edwin Moomaw, DDS is a Dentist in Edgewood, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1308 Business Center Way Ste 105
Edgewood, MD 21040-1504
Phone: (410) 679-2790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence MD6960 (MD)

Record details

NPI number1164645859
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 11, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1308 Business Center Way, Suite 105, Edgewood, MD 21040-1504

Other providers in Edgewood